Low testerone levels in men

It is suggested that bioavailable testosterone represents the fraction of circulating testosterone that readily enters cells and better reflects the bioactivity of testosterone than does the simple measurement of serum total testosterone. Also, varying levels of SHBG can result in inaccurate measurements of bioavailable testosterone. Decreased SHBG levels can be seen in obesity, hypothyroidism , androgen use, and nephritic syndrome (a form of kidney disease ). Increased levels are seen in cirrhosis , hyperthyroidism , and estrogen use. In these situations, measurement of free testosterone may be more useful.

Testosterone therapy can occur in many forms, from injectable and transdermal creams and patches and even subcutaneous pellets implanted under the skin. In the end it is true, with each form of therapy you are receiving the same testosterone hormone but the efficiency and effectiveness of each form varies greatly. Without question injectable testosterone is the most efficient and effective form of testosterone therapy, as through injections the needed testosterone is placed directly into the blood. While transdermal medications will absorb into the blood many men find difficulty in achieving proper levels with this form making it the least desirable of the four. If injections are not an option for whatever reason testosterone implant pellets are a fine choice and often all the testosterone an individual will need.

I think this approach is fine. I must say having been doing this for years, treating hundreds and thousands of men I have been underwhelmed with the results with topicals. Injections can cause peaks and valley and I have many younger men inject twice a week that smooths out the peaks and valleys. I think it is appropriate to follow the advice of your primary doctor and endocrinologist. I have just seen too many men spend months or years with gels with sub optimal results. Many men are diagnosed with depression and are not really depressed (I have no idea if this applies to you), but the presumed depression is base dupon low T.
My recommendation would be to pursue this but if a few months pass and results are modest consider another approach. Pellets are one approach to have smooth levels of T and are placed every 4 months.

Your symptoms plus family history scream hypothyroid condition. This would exacorbate weight gain but also, I noticed that the gain coincided with upping carbs to around 75 per day. This may be too much for you. Cut back to 50 for a few weeks to see how you do. It is imperative that you get free t3 and free t4 and antibodies tested. Get Mark Starr MD's book as well as Broda Barnes MD's book. Starr's book is outstanding and gives step by step instructions on how to titrate thyroid hormone. He is also hypothyroid himself and details his own years of misdiagnoses and needless suffering.

It is possible that low testosterone levels contribute some to your migraines, but also remember that if your testosterone levels are low, you very well may have deficiencies in other hormones like estrogen, progesterone, and thyroid hormone. Read more about migraines and low progesterone, here ( http:///migraine-#axzz3iVes3bk7 ). Make sure that if you are contemplating TRT, that you evaluate both benefits AND risks and only trust your care to someone who look at the whole picture and help you manage it appropriately.

Low testerone levels in men

low testerone levels in men

Your symptoms plus family history scream hypothyroid condition. This would exacorbate weight gain but also, I noticed that the gain coincided with upping carbs to around 75 per day. This may be too much for you. Cut back to 50 for a few weeks to see how you do. It is imperative that you get free t3 and free t4 and antibodies tested. Get Mark Starr MD's book as well as Broda Barnes MD's book. Starr's book is outstanding and gives step by step instructions on how to titrate thyroid hormone. He is also hypothyroid himself and details his own years of misdiagnoses and needless suffering.

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